临床小儿外科杂志2025，Vol.24Issue(4)：372-376,5.DOI:10.3760/cma.j.cn101785-202401069-013
新生儿阴囊化脓性感染的外科治疗
Surgical procedures of acute suppurative scrotal infection in neonates
摘要
Abstract
Objective To summarize the clinical manifestations,diagnoses,surgical treatments of acute suppurative scrotal infection and avoid irreversible testicular injury in neonates.Methods From January 2016 to June 2023.The relevant clinical data were retrospectively reviewed for 14 neonates with acute suppurative scrotal infection.Results Age range was(12-28)day and body weight(3500-4600)gram.The involved side was left(n=7),right(n=5)and bilateral(n=2).The clinical manifestations included redness,swell-ing and tenderness of scrotum,crying and irritability.Both leucocyte count(n=7)[(12.04±4.78)×109/L)]and C-reactive protein(10.59±8.74)mg/L)became elevated.Typical color Doppler ultrasonography re-vealed scrotal wall and testicular edema,hydrocele and cord-like flocculent sediment in scrotum,testicular and epididymal spermatic cord swelling with rich blood flow.Time interval of an onset of scrotal infection and surgi-cal exploration was＜72 h(n=12)undergoing testicular exploration and scrotal drainage;＞72 h(n=2)undergoing orchidectomy.The results of microorganism culture included Escherichia coli(n=13)and Pseudo-monas aeruginosa(n=1).All of them recovered.Follow-up period was(6-24)month.Ultrasonography re-vealed compensatory enlargement of contralateral testis with unilateral loss of testis(n=2).Conclusions E-mergency ultrasonography is essential for managing acute scrotal infection in neonates.Early operation should be performed timely to avoid testicular necrosis.关键词
阴囊/感染/化脓/清创术/婴儿,新生Key words
Scrotum/Infections/Suppuration/Debridement/Neonate引用本文复制引用
余克驰,李宁,尹晔,曹鹏,赵翔,周学锋,袁继炎..新生儿阴囊化脓性感染的外科治疗[J].临床小儿外科杂志,2025,24(4):372-376,5.基金项目
国家自然科学基金(81601265) National Natural Science Foundation of China(81601265) （81601265）
